Introduction
Children at highest obesity risk include those from certain racial/ethnic groups,
from low-income families, with disabilities, or living in high-risk communities. However,
a 2013 review of the National Collaborative for Childhood Obesity Research Measures
Registry identified few measures focused on children at highest obesity risk. The
objective is to (1) identify individual and environmental measures of diet and physical
activity added to the Measures Registry since 2013 used among high-risk populations
or settings and (2) describe methods for their development, adaptation, or validation.
Methods
Investigators screened references in the Measures Registry from January 2013 to September
2017 (n=351) and abstracted information about individual and environmental measures developed
for, adapted for, or applied to high-risk populations or settings, including measure
type, study population, adaptation and validation methods, and psychometric properties.
Results
A total of 38 measures met inclusion criteria. Of these, 30 assessed individual dietary
(n=25) or physical activity (n=13) behaviors, and 11 assessed the food (n=8) or physical activity (n=7) environment. Of those, 17 measures were developed for, 9 were applied to (i.e.,
developed in a general population and used without modification), and 12 were adapted
(i.e., modified) for high-risk populations. Few measures were used in certain racial/ethnic
groups (i.e., American Indian/Alaska Native, Hawaiian/Pacific Islander, and Asian),
children with disabilities, and rural (versus urban) communities.
Conclusions
Since 2013, a total of 38 measures were added to the Measures Registry that were used
in high-risk populations. However, many of the previously identified gaps in population
coverage remain. Rigorous, community-engaged methodologic research may help researchers
better adapt and validate measures for high-risk populations.
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Publication history
Published online: September 09, 2020
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© 2020 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
